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Surgical Excision


Surgical excision is a dermatology procedure used to remove skin cancers, suspicious growths, and certain benign lesions when medically appropriate. Paradise Dermatology in Sarasota provides personalized surgical excision care to help remove affected tissue, support accurate diagnosis or treatment, and protect long-term skin health.

What Is Surgical Excision?

Surgical excision is an in-office procedure that removes a skin lesion along with a small margin of surrounding tissue. It may be recommended for certain skin cancers, precancerous lesions, atypical moles, cysts, or other growths that need complete removal or further evaluation.

The removed tissue is often sent to a laboratory for pathology review. This helps confirm the diagnosis and determine whether the lesion was fully removed. Surgical excision is commonly used when a lesion needs to be treated thoroughly while allowing the tissue to be examined under a microscope.

When to Consider Surgical Excision

Many patients are advised to consider surgical excision after a biopsy confirms a skin cancer, atypical mole, or lesion that should be fully removed. It may also be recommended when a growth is bothersome, recurring, suspicious, or difficult to diagnose by appearance alone.
You may benefit from surgical excision if you have:

A biopsy-confirmed skin cancer

An atypical or abnormal mole

A suspicious skin growth

A cyst or recurring lesion

A lesion that bleeds, crusts, or does not heal

A spot with irregular borders or uneven color

A growth that is painful, irritated, or changing

A lesion that needs pathology review

A recommendation from your dermatologist for complete removal

Getting the right treatment plan can help remove concerning tissue, guide diagnosis, and support better long-term skin health.

Personalized Surgical Excision Care

At Paradise Dermatology, surgical excision care is never one-size-fits-all. Your treatment plan is based on the type of lesion, biopsy results, size, location, medical history, skin cancer history, healing needs, and cosmetic considerations. Our team focuses on careful removal, clear communication, and follow-up care that supports both health and comfort.

Lesion Removal

Surgical excision removes the targeted lesion and a small margin of surrounding tissue when needed to help treat or fully evaluate the concern.

Pathology Review

Removed tissue may be sent to a lab for microscopic evaluation, helping confirm the diagnosis and whether additional treatment is needed.

Repair & Follow-Up Care

After the lesion is removed, the area is closed and dressed. Follow-up care helps support healing, review results, and monitor for future skin changes.

Concerns Surgical Excision Can Address

Surgical excision can be used for several medical skin concerns that require removal, diagnosis, or treatment. Paradise Dermatology provides surgical excision for patients in Sarasota and surrounding communities with concerns such as:

  • Basal cell carcinoma
  • Squamous cell carcinoma
  • Atypical moles
  • Suspicious skin growths
  • Benign lesions
  • Cysts
  • Non-healing sores
  • Changing spots
  • Recurrent growths
  • Lesions requiring pathology review

Identifying the type and location of the lesion helps us recommend the most appropriate treatment approach for your skin and long-term health.

How Surgical Excision Works

Surgical excision is typically performed in the office using local anesthetic to numb the treatment area. Once the area is numb, the lesion is carefully removed along with the appropriate amount of surrounding tissue.

The area is then closed with sutures when needed and covered with a dressing. The removed tissue may be sent for pathology review, and your provider will explain when results are expected and whether any additional treatment or monitoring may be recommended.

Surgical Excision for Skin Cancer and Suspicious Lesions

Patients may need surgical excision for different reasons. Some lesions are removed because they are cancerous or precancerous, while others are removed because they are atypical, recurring, irritated, or difficult to identify without further testing.

Paradise Dermatology provides surgical excision with a thoughtful, personalized approach. Whether you need treatment for a diagnosed skin cancer or removal of a suspicious lesion, our team can help you take the next step with confidence.

Supporting Healing and Long-Term Skin Health

After surgical excision, you will receive wound care instructions to help the area heal properly. Mild swelling, tenderness, redness, bruising, or tightness may occur depending on the location and size of the excision.

Our team will guide you on how to care for the site, when sutures may need to be removed, and when to return for follow-up. Ongoing skin exams may also be recommended, especially for patients with a history of skin cancer, atypical moles, or significant sun exposure.

Ready to Take the Guesswork Out of Surgical Excision?